#167 Stress Ulcer Prophylaxis in the ICU and REVISE Trial: Beyond Journal Club with NEJM Group

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 11 December 2024

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

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Summary

What’s the evidence been for the use of PPIs in mechanically ventilated patients? What do more recent studies reveal about PPIs and possible harmful side effects of aspiration pneumonia and C. difficile colitis? To find out, tune into the second season of Beyond Journal Club, a series brought to you by Core IM in collaboration with NEJM Group.

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Timestamps:

(02:13) | Define the problem / Clinically important bleeding Outcome/Risk benefit /Risk factors]

(05:58) | Hx and H2 antagonists

(10:42) | SUP-ICU

(15:12) | PEPTIC

(19:30) | REVISE trial

(27:28) | Deprescribing

(29:06) | Outstanding questions

Transcript and Show Notes

Tags: CoreIM, InternalMedicine, CriticalCare, Proton Pump Inhibitors, GIbleeding, ICU, ICU bleeding, Clinical Trials, Evidence Based Medicine, Patient Centered Outcomes, Deprescribing

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Transcript

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0:00.0	Just a quick word from our sponsor, Freed.
0:02.4	Think about the last time you finished your clinic day or a day in the hospital
0:05.9	without a backlog of notes waiting for you.
0:09.9	With Freed, that can be your everyday reality.
0:12.7	It's not just an AI tool.
0:14.1	It's your personal time saver that instantly transcribes and preps a full medical document for you to review.
0:20.4	And the backstory of Freed was that it was actually crafted by a computer engineer who watched his
0:25.8	physician wife lose her nights and weekends to charting.
0:29.3	His solution, an AI that integrates seamlessly into your workflow, understands your needs
0:35.0	over time, and most importantly, importantly freeze up that precious time.
0:38.7	And it's fully HIPAA compliant.
0:41.0	With free documentation no longer has to feel like a big lift with a lot of inertia energy.
0:46.0	Give it a try and see if it works for your workflow.
0:49.1	You get 10 notes for free with freed.
0:51.7	Most people say it saves them two hours a day, and after those 10 free
0:55.9	notes, it's just $99 a month. It's a small price for peace of mind and the return of your
1:01.7	nighttime and your weekends with your loved ones. As a bonus, Coram listeners get 50% off the
1:06.7	first month by using the code Core 50. Again, use the code Core 50 to get 50% off your first month with Reed.
1:14.8	Welcome to Beyond Journal Club, a collaboration machine Coriam and N.A.M.
1:19.5	The goal of Beyond Journal Club is to take landmark clinical trials and put them into context.
1:23.6	We're telling the story about how we got to where we are, what it means for our patients,
1:27.3	and how we take care.
	...

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